The treatment of parastomal hernias (PSH) represents a major challenge in hernia surgery. Various techniques have been reported with different outcomes in terms of complication and recurrence rates. The aim of this study is to share our initial experience with the implantation of the DynaMesh-IPST-R and -IPST, intraperitoneal funnel meshes made of polyvinylidene fluoride (PVDF). This is a retrospective observational cohort study of patients treated for PSH between March 2019 and April 2023 using the chimney technique with the intraperitoneal funnel meshes IPST-R or IPST. The primary outcome was recurrence and the secondary outcomes were intraoperative and postoperative complications, the latter assessed using the Clavien–Dindo classification. A total of 21 consecutive patients were treated with intraperitoneal PVDF funnel meshes, 17 with IPST-R and 4 with IPST. There were no intraoperative complications. Overall, no complications occurred in 61.9% (n = 12) of the patients. Major postoperative complications (defined as Clavien–Dindo ≥ 3b) were noted in four cases (19.0%). During the mean follow-up period of 21.6 (range 4.8–37.5) months, one patient (4.8%) had a recurrence. In conclusion, for the treatment of parastomal hernias, the implantation of IPST-R or IPST mesh has proven to be efficient, easy to handle, and very safe. In particular, the low recurrence rate of 4.8%, which is in line with the current literature, is convincing. However, a larger number of patients would improve the validity of the results.

This case series highlights the importance of a thorough differential diagnosis in patients with groin swelling, often mistaken for inguinal hernias. It presents three patients with groin swelling initially suspected of having inguinal hernias but diagnosed differently upon further investigation. Patient 1 had a recurrence of endometrial adenocarcinoma in the right groin, Patient 2 had penile carcinoma with left inguinal metastasis, and Patient 3 had a metastasis of prostate carcinoma in the left groin. These cases underline the need to consider various pathologies beyond the common diagnosis of inguinal hernia. Accurate diagnosis requires a careful clinical examination and appropriate diagnostic tools, ensuring correct treatment.

Background: Evidence on Versius-assisted oesophagectomy remains limited. This retrospective single-centre case series describes the early implementation and outcomes of a fully minimally invasive Ivor–Lewis procedure comprising a laparoscopic abdominal phase and a Versius-assisted thoracic phase. Methods: A retrospective analysis was performed on prospectively collected data from 34 consecutive patients who underwent the RAMIE procedure using the Versius Surgical System at Klinikum Chemnitz between September 2024 and July 2025. The surgical technique consisted of a laparoscopic abdominal phase followed by a robotic thoracic phase with intrathoracic circular stapled anastomosis. The primary aim was to assess the safety and feasibility of using the Versius Surgical System in esophageal surgery. Results: The mean operative time was 329 min (range: 245–416), and the mean docking time was 11 min (range: 6–27). No conversions to laparoscopic or open procedures occurred (0%). R0 resection was achieved in 91.2% of patients. The median lymph node harvest was 28 (range: 15–44). The anastomotic leak rate was 8.8%, with no associated mortality. No deaths occurred within 90 days after surgery. Conclusions: In this initial single-centre series, the planned robotic Versius-assisted approach was completed in all patients. The observed perioperative and pathological outcomes provide preliminary descriptive evidence to support further prospective evaluation. They do not establish comparative safety, efficacy, or oncological equivalence.